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Site Performance Summary:

                                               Tiffin's Supply Expense was over budget by $20K.
                                               Med/Surg showing low spend at only 66% of budget due to Admissions and
                                               Total Patient Days both being 8% below budget. Total Surgery volume was
                                               also 6% below budget.
                                               Unfavorable spend can be attributed to Drugs ($25K), Lab ($28K) and Non-
                                               CRM Implants ($17K).


                                               Despite a lower-volume and lower-performing month, Net Revenue was
                                               favorable.



                   Key Challenges: 2-3 key contributors for each expense subaccount
                                               Low admissions and total patient days attributed to minimal spend in
                                               Med/Surg.



                 Tiffin Leader's Summary
                            Med/Surg







                                               Drug spend was unfavorable due to high-dollar usage from Oncology,
                                               specifically from Keytruda and Avastin, as well as high spend in blood form,
                                               coag and thrombosis drug subaccount as a number of these drugs are ordered
                                               for chemo patients requiring red/white blood cell booster. Cold and Flu
                                Rx             season attributable to excess spend on Anti-infective drugs.








                                               Knees/Hips volume did decrease from PY; however, increased inpatient
                                               surgeries and Genito-Urinary procedures accounted for excess spend.


                             Implants






                                               Lab - $20K Payment to the College of American Pathologists to cover for
                                               2018 Surveys.




                          Other Expenses






                   Actions Taken/Planned:
                           Volume Data
                           Alt Sourcing
                         Capital Avoidance
   109   110   111   112   113   114   115   116   117   118   119